Godey B, Beust L, Cauchin L, Colin L, Le Clec'h G, Bourdinière H J
Service ORL et de Chirurgie Maxillo-faciale, Hôpital de Pontchaillou, CHU, Rennes.
Ann Otolaryngol Chir Cervicofac. 1996;113(7-8):412-8.
A retrospective review of 65 patients treated with supraglottic laryngectomy from 1980 to 1992 in the Department of Otolaryngology of Rennes was performed. Tumor localisation was vallecula in 38 cases and epiglottis in 27 cases. Functional and carcinologic results are studied for all patients, when base tongue is involved and for patients operated after radiotherapy. The 3 years survival rate was 62,2% and 5 years survival rate 44%. A local failure occurred in 15,4% and 4,6% developed cervical metastasis. Another neoplasm on superior aerodigestive tract is the first cause of death for epiglottis cancer. This data shows that conservative surgery is a higher effective method than radiotherapy for the treatment of small tumors of epiglottis.
对1980年至1992年期间在雷恩耳鼻喉科接受声门上喉切除术治疗的65例患者进行了回顾性研究。肿瘤定位为会厌谷38例，会厌27例。对所有患者、舌根受累患者以及放疗后手术的患者的功能和肿瘤学结果进行了研究。3年生存率为62.2%，5年生存率为44%。局部失败率为15.4%，4.6%发生颈部转移。上呼吸消化道的另一种肿瘤是会厌癌的首要死亡原因。该数据表明，对于会厌小肿瘤的治疗，保守手术是一种比放疗更有效的方法。
